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FUE (Follicular Unit)

Follicular Unit Extraction (FUE) Transplant

If you are experiencing hair loss or baldness, there are several different hair transplant techniques available to help you regain that healthy head of hair you once had. PAI Medical Group ( offers all the available options including the innovative and least-invasive treatment available on the market today, follicular unit extraction, or an FUE transplant.

Traditional transplant methods involve harvesting a narrow strip of hair-bearing skin from the back and sides, a region known as the ‘donor’ area. Then the skin above and below the area that was removed is pulled together and a stitch holds the two sides together as it heals. As it heals completely, it may leave a fine thin surgical scar - typically a millimeter or two in width. This ‘strip method’ requires a little longer recovery time than the FUE transplant method. The FUE transplant procedure does take longer to perform but heals quickly and creates minimal scaring - typically tiny dots - on the back and sides of the head.

With Follicular Unit Extraction follicles are removed in groups of one to four, creating much smaller incisions in the donor area with no necessity for stitches. This means follicular unit extraction is great for patients that like to keep their hair cut short or don’t have much down time for recovery. Patients can also have procedures closer together to reach their goals, as opposed to doing procedures 10 to 12 months apart like what is typically done with strip harvesting.

Neo-graft / ARTAS/ Ellis

Originally FUE (Follicular Unit Extraction) transplants were all done by hand using small surgical punches to harvest the hairs.  This process took much longer than the traditional strip technique and  resulted in a higher number of hairs being killed in the harvesting portion of the procedure.

The newest developments have automated this FUE transplant process making it faster than before with less damage to the hairs that are being transplanted.  However, this process is still considerably slower than the traditional strip technique and doesn't allow for larger 'mega-sessions' popular with patients today so it is not ideal for larger areas of hair loss unless the patient is comfortable doing multiple procedures.  It also limits the number of graft types that can be used in the procedure so careful consideration should be given to these limitations.

FUE begins by shaving the donor field hair on the back of the head. Then using the FUE device individual hair follicles are gently and painlessly removed for implantation to other areas of the head. Hair from the back of the head is thicker, more dense and genetically programmed to continue to grow. The FUE device smoothly removes hair follicles but because of the small punch some hairs will be damaged in the extraction process.

FUE technology is ideal for men who wear their hair very short, patients who need small areas transplanted and for harvesting small numbers of hairs to be placed in scars on other parts of the head.

NeoGraft, ARTAS, and the Ellis systems are automated follicular unit extraction systems which make it easier than using hand punches to perform FUE hair restoration surgery.

The NeoGraft system is widely used in the United States today.  It is considered by some as a 'first generation automation system' for hair transplantation and is popular with physicians who do hair transplants as a side-service and not a specialty because of it's simplicity and ease of use.

The ARTAS is the first robotic hair transplant system in the world.  It blends the skills of a highly trained hair transplant surgeon with unsurpassed precision and advanced digital mapping technology to harvest donor hair for the procedure.  The proprietary digital mapping technology used to harvest the donor hair minimizes hair trans-section (hair death) which is something commonly associated with other FUE techniques.  Larger areas can be covered using ARTAS because of the speed and precision of the robotic assisted harvesting system.

The Ellis System is used by many hair transplant surgeons today who specialize in hair restoration surgery. It is an inexpensive and simple automated punch device that can be used to augment a strip harvest procedure or as a stand alone device that can be used for a full FUE case.


follicular unit extraction

The ARTAS Digital Mapping System Shown Above


ARTAS as seen on the show 'The Doctors."

Animation of ARTAS harvesting Tool

Automated follicular unit extraction procedures make getting a hair transplant so easy that there is no longer any reason to put off getting that younger-looking, fuller head of hair. No matter what your hair loss trouble or your lifestyle, through, PAI Medical Group can help you find the best transplant solution for you. 

Female Hair Transplant Patient Results - Amy Eckles

PAI Medical Hair Transplant Patient Amy Eckles and her dramatic before and after results.

View More Hair Transplant Photos

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All MUHG Hair Transplants are guaranteed to grow following the operation, provided that the patient followed all pre and postoperative instructions.

If certain hairs failed to grow and the patient has met these conditions, PAI Medical Group of Nashville will re-transplant the missing hairs free of charge during a subsequent session.

To ensure these conditions are met, it is highly recommended that the patient follow a postoperative treatment program, not only to reinforce the newly transplanted hairs but also to help maintain the original ones.